title: Use of IABP in contrast media-induced anaphylactic shock: the ultimate lifesaver.
abstract: Anaphylactic reaction to contrast media during selective coronary angiography is a rare occurrence. It can be occasionally resistant to medical treatment leading to cardiovascular collapse and death. The use of intra-aortic balloon pump (IABP) counter-pulsation when the supportive medical treatment fails during anaphylactic shock is not well documented in the literature. We report a case of a severe contrast media-induced anaphylactic shock which failed to respond to the supportive medical management and the timely insertion of IABP for further circulatory support that prevented death in a patient who had an elective diagnostic coronary angiography. The clinical diagnosis of anaphylaxis was challenging at the onset of shock as the typical rash developed after a few minutes.
authors.affiliation: Department of Cardiology, Singleton Hospital, Swansea, UK. rajibalam17@yahoo.co.uk
authors.forename: Rajib
authors.initials: R
authors.lastname: Alam
authors.forename: Rajaram
authors.initials: R
authors.lastname: Anantharaman
mesh_terms: D000368:Aged; D000707:Anaphylaxis / Q000139:chemically induced / Q000628:therapy*; D003287:Contrast Media / Q000009:adverse effects*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D016896:Treatment Outcome
chemical_list: D003287:Contrast Media